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Fried foods (french fries, fried chicken, donuts) Fatty cuts of meat Full-fat dairy products Creamy sauces and gravies Fast food burgers and pizza Acidic Foods These can irritate an already sensitive esophagus: Citrus fruits and juices (oranges, grapefruits, lemons) Tomatoes and tomato-based products (pasta sauce, ketchup) Vinegar-based dressings Spicy Foods Hot peppers, hot sauces, and heavily spiced dishes can trigger heartburn in many people